Individual provider Active NPI

Julie Miller Quattlebaum, MD

  • Pediatrics Physician
  • Evans, GA
National Provider Identifier
1770596181
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
24025 Issued in SC
Practice address
4321 University Pkwy
Evans, GA 30809-3058
Phone
(706) 790-4440
Fax
(706) 737-3321
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 56278 GA
Pediatrics Physician 208000000X 24025 SC Primary

Addresses

Primary practice location

4321 University Pkwy
Evans, GA 30809-3058

Mailing address

215 Town Creek Rd
Aiken, SC 29803-5843

Other identifiers 1

IdentifierTypeStateIssuer
752529620AMedicaidGA

Other names 1

  • Julie Miller Dennard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050623000211 GA Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 4880639517 Reassigns benefits to 2 organizations
I20230118002221 SC Practitioner - Emergency Medicine 4880639517 Reassigns benefits to 1 organization
I20251212000167 GA Practitioner - Pediatric Medicine 4880639517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Medical College of Georgia School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 780
Thomson, GA 30824

PO Box
Suite 780
Thomson, GA 30824-0780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
56278GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Au Medical Associates Emergency Medicine Billing Services, LLC Emergency Medicine CurrentSince Dec 1, 2022 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Jul 31, 2019 Accepting new patients
Neighborhood Improvement Project Inc CurrentSince Oct 4, 2025 Accepting new patients
Neighborhood Improvement Project, Inc CurrentSince Oct 4, 2025 Accepting new patients
Neighborhood Improvement Project, Inc Past Accepting new patients
Neighborhood Improvement Project, Inc. PastSince Sep 3, 2025 Accepting new patients
Au Medical Associates Inc PastSince Sep 3, 2025 Accepting new patients
Sterling Emergency Services of the Southeast Inc Emergency Medicine Past Accepting new patients

Locations

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

1499 Walton Way
Ste 1400
Augusta, GA 30901
Phone (706) 721-4951

1113 Garredd Blvd
Augusta, GA 30909
Phone (706) 364-8220

1120 15th St
Bldg O107
Augusta, GA 30912

2467 Golden Camp Rd
Augusta, GA 30906
Phone (706) 922-0682

1120 15th St
#6000
Augusta, GA 30912
Phone (706) 721-3813

1299 Interstate Pkwy
Augusta, GA 30909
Phone (706) 863-2246

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

200 Industrial Blvd
Dublin, GA 31021
Phone (478) 274-3865

4321 University Pkwy
Ste 104
Evans, GA 30809
Phone (706) 854-2198

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

295 Midland Pkwy
Summerville, SC 29485
Phone (843) 554-6366

Interoperability endpoints

  • Direct secure messaging: jquattlebaum@libertydoctors.ssdirect.aprima.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1770596181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 TOWN CREEK RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 UNIVERSITY PKWY",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093058",
            "telephone_number": "706-790-4440",
            "fax_number": "706-737-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUATTLEBAUM",
        "first_name": "JULIE",
        "middle_name": "MILLER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "56278",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "24025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "752529620A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "DENNARD",
            "middle_name": "MILLER",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evans, GA

Sources for this page

Verify at the official NPI Registry.